Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.62 / $33.11 / $56.23	Facility	26	$31.62	$33.11	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $79.43 / $229.09	Professional		$34.67	$79.43	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $52.48 / $158.49	Professional	26	$19.95	$52.48	$158.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $36.31 / $70.79 / $234.42	Professional	50	$36.31	$70.79	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $8.91 / $28.18 / $93.33	Professional	TC	$8.91	$28.18	$93.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $23.99 / $27.54 / $27.54	Facility	26	$23.99	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $229.09	Professional		$95.50	$151.36	$229.09
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $117.49	Professional	26	$51.29	$77.62	$117.49
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $79.43 / $114.82	Professional	TC	$52.48	$79.43	$114.82
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $104.71 / $288.40	Facility	26	$26.92	$104.71	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $112.20 / $194.98	Professional		$42.66	$112.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $53.70 / $97.72	Professional	26	$26.30	$53.70	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $56.23 / $97.72	Professional	TC	$15.85	$56.23	$97.72
Health Partners Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $114.82 / $223.87	Facility	26	$91.20	$114.82	$223.87
Health Partners Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $151.36	Professional		$97.72	$97.72	$151.36
Health Partners Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $75.86	Professional	26	$48.98	$48.98	$75.86
Health Partners Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $48.98 / $75.86	Professional	TC	$48.98	$48.98	$75.86
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $112.20 / $281.84	Professional		$45.71	$112.20	$281.84
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $67.61 / $173.78	Professional	26	$25.12	$67.61	$173.78
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $38.90 / $213.80	Professional	TC	$14.79	$38.90	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $186.21	Professional		$42.66	$72.44	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $41.69 / $89.13	Professional	26	$24.55	$41.69	$89.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.79 / $36.31 / $97.72	Professional	TC	$14.79	$36.31	$97.72